Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $54.35 / $54.35	Facility		$54.35	$54.35	$54.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $88.53 / $337.57	Professional		$54.35	$88.53	$337.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Professional		$0.02	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.46 / $1,959.39 / $41,999.58	Facility		$135.46	$1,959.39	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $1,727.17 / $3,047.94	Professional		$135.46	$1,727.17	$3,047.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $76.59 / $475.54	Professional		$69.69	$76.59	$475.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $121.62 / $198.83	Professional		$102.76	$121.62	$198.83